Kristie Butler, RD
Individual provider Active NPI Registered Dietitian · Neenah, WI
NPI 1396258257 · NPPES record last updated Nov 13, 2017
Key facts
- NPI
- 1396258257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1062258 (WI)
- Practice address
- 419 Park Dr
Neenah, WI 54956-2858 - Phone
- (561) 459-9750
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062258 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 1062258 | WI | Yes |
Addresses
Primary practice location
419 Park Dr
Neenah, WI 54956-2858
Mailing address
419 Park Dr
Neenah, WI 54956-2858
Phone (561) 459-9750
Other providers in Neenah, WI
- Jeffrey Scott Burkett
- Lindsey Burmeister
- James R Burns
- Hannah L Burton
- Larry K Burton Jr.
- Paige N Butler
- Melissa A Butzen
- David Buzas
- Rachael Ellen Callahan
- Daniel Camacho
All providers in Neenah, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.